The role of formative evaluation in implementation research and the QUERI experience

Stetler, Cheryl B.; Legro, Marcia W.; Wallace, Carolyn; Bowman, Craig T.; Guihan, Marylou; Hagedorn, Hildi; Kimmel, Barbara; Sharp, Nancy; Smith, Jeffrey L.

doi:10.1007/s11606-006-0267-9

Cited by 390 publications

(256 citation statements)

References 34 publications

(12 reference statements)

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“…This raises the question whether this is an implication of the formative design of this study or that this is an implication of the fact that the project groups were in charge of developing and implementing the lifestyle interventions. Using a formative design enables researchers to gain insight into program implementation over time and understand the strengths and weaknesses of the chosen strategy 27,28. In the chosen formative design, the researchers tried not to intervene with the implementation process as we were primarily interested in gaining insight into the implementation of evidence-based interventions in daily practice whereby the organizations themselves were in charge.…”

Section: Discussionmentioning

confidence: 99%

The Implementation of Multiple Lifestyle Interventions in Two Organizations

Wierenga

Engbers

Empelen

et al. 2014

Journal of Occupational &Amp; Environmental Medicine

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Objective:To evaluate the implementation of a multicomponent lifestyle intervention at two different worksites.Methods:Data on eight process components were collected by means of questionnaires and interviews. Data on the effectiveness were collected using questionnaires.Results:The program was implemented partly as planned, and 84.0% (max 25) and 85.7% (max 14) of all planned interventions were delivered at the university and hospital, respectively. Employees showed high reach (96.6%) and overall participation (75.1%) but moderate overall satisfaction rates (6.8 ± 1.1). Significant intervention effects were found for days of fruit consumption (β = 0.44 days/week, 95% CI: 0.02 to 0.85) in favor of the intervention group.Conclusions:The study showed successful reach, dose, and maintenance but moderate fidelity and satisfaction. Mainly relatively simple and easily implemented interventions were chosen, which were effective only in improving employees’ days of fruit consumption.

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Section: Discussionmentioning

confidence: 99%

The Implementation of Multiple Lifestyle Interventions in Two Organizations

Wierenga

Engbers

Empelen

et al. 2014

Journal of Occupational &Amp; Environmental Medicine

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“…The interviews were intended to elicit team members' observations and synthesize their informed suggestions for planning the next phase of the work [47]. These interviews occurred after all study participants were recruited and communication with participants was well underway.…”

Section: Reflective Interviewsmentioning

confidence: 99%

Pilot study to develop telehealth tinnitus management for persons with and without traumatic brain injury

Henry¹,

Zaugg²,

Myers³

et al. 2012

JRRD

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Abstract-Tinnitus, or "ringing in the ears," affects 10%-15% of adults; cases can be problematic and require lifelong management. Many people who have experienced traumatic brain injury (TBI) also experience tinnitus. We developed Progressive Tinnitus Management (PTM), which uses education and counseling to help patients learn how to self-manage their reactions to tinnitus. We adapted PTM by delivering the intervention via telephone and by adding cognitive-behavioral therapy. A pilot study was conducted to evaluate the feasibility and potential efficacy of this approach for individuals with and without TBI. Participants with clinically significant tinnitus were recruited into three groups: probable symptomatic mild TBI (n = 15), moderate to severe TBI (n = 9), and no symptomatic TBI (n = 12). Participants received telephone counseling (six sessions over 6 months) by an audiologist and a psychologist. Questionnaires were completed at baseline, 12 weeks, and 24 weeks. All groups showed trends reflecting improvement in self-perceived functional limitations due to tinnitus. A follow-up randomized clinical study is underway.Key words: blast injury, clinical trial, cognitive-behavioral therapy, education, hearing disorders, military Veterans, rehabilitation, telehealth, tinnitus, traumatic brain injury.Abbreviations: CBT = cognitive-behavioral therapy, ESS = Epworth Sleepiness Scale, HADS = Hospital Anxiety and Depression Scale, ICF = informed consent form, IED = improvised explosive device, IRB = institutional review board, LOC = loss of consciousness, m-sTBI = moderate to severe traumatic brain injury (group), mTBI = probable symptomatic mild traumatic brain injury (group), NCRAR = National Center for Rehabilitative Auditory Research, noTBI = no symptomatic traumatic brain injury (group), OIF = Operation Iraqi Freedom, PC-PTSD =

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“…[18] Such evaluation is essential to making program changes by providing a source of 'currency' and facilitating the determination of academic and professional relevance. [19] Formative evaluation serves as an organizing framework to determine what PEOL concepts are present in courses, identify potential faculty champions, and uncover gaps and opportunities for improvement.…”

Section: Assessing Peol Content In Two Undergraduate Nursing Programsmentioning

confidence: 99%

Two prelicensure nursing programs assess readiness to standardize palliative and end of life care curriculum

Davis

Lippe

2017

JNEP

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There is a growing imperative for nurses to be adequately trained to care for patients with serious, life-limiting illness. However, the current nursing education system requires vast content areas be taught, resulting in minimal emphasize on palliative and end-of-life care and inadequate preparation of nurses to care for dying patients upon entering practice. To address the need for enhanced palliative and end-of-life care integration within their respective programs, two universities conducted needs assessments to determine the best next steps in enhancing student preparation to care for patients with serious, life-limiting illness. One university engaged in a three-part needs assessment resulting in the formation of an ad hoc committee to guide discussions for content integration. The second university engaged in a faculty-led survey to identify areas for improvement within the program. The purpose of this paper is to describe the processes and challenges encountered by both schools to aid other programs that may be considering or preparing for a similar endeavor.

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The role of formative evaluation in implementation research and the QUERI experience

Cited by 390 publications

References 34 publications

The Implementation of Multiple Lifestyle Interventions in Two Organizations

The Implementation of Multiple Lifestyle Interventions in Two Organizations

Pilot study to develop telehealth tinnitus management for persons with and without traumatic brain injury

Two prelicensure nursing programs assess readiness to standardize palliative and end of life care curriculum

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